Roach, Neil A

Roach, Neil A is an individual health care provider with primary practice located at 17 White Horse Pike Ste 9, Haddon Heights NJ 08035-1299. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Roach, Neil A can be contacted via phone (856) 546-1177.

Contact Information

Primary practice address
17 White Horse Pike Ste 9 Haddon Heights NJ 08035-1299
Phone: (856) 546-1177
Fax: (856) 546-0666
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD052730L Pennsylvania
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 25MA05227300 New Jersey

Profile Details

NPI number 1114955259
LBN Legal business name Roach, Neil A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Feb 25th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114955259 NPPES
Pennsylvania MEDICAID 0014666080020
Pennsylvania Other 0716985000
Pennsylvania MEDICAID 001466608
Pennsylvania Other P00390756
Pennsylvania Other P00403104
Pennsylvania Other PA7584
Pennsylvania Other 231955165
Pennsylvania Other 001466608
Pennsylvania Other 231955165
Pennsylvania MEDICAID 6185703
Pennsylvania Other 034628
Pennsylvania Other 367605
Pennsylvania Other MD052730L
Pennsylvania Other 30035147

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